Steward Medical Group, INC
Steward Medical Group, INC was paid $50.08M by Medicaid between Jan 2018 and Dec 2024, across 256 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.
33Billing provider infoSTEWARD MEDICAL GROUP, INC
WATERTOWN, MA 02472
WATERTOWN, MA 02472
33aNPI1629398219assigned 06/04/2010
33bProvider typeSpecialist
28Total paid$50.08M
24GClaims1,901,408
24DCodes billed256
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Massachusetts
Rank by total paid#1 of 179
Median peer was paid$23K
This provider vs. median2,161×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official GUAY, AMY controls 14+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 183,884 | $6.09M | |
| 2019 | 215,002 | $6.97M | |
| 2020 | 224,309 | $8.36M | |
| 2021 | 261,784 | $9.02M | |
| 2022 | 374,219 | $8.88M | |
| 2023 | 392,760 | $6.73M | |
| 2024incomplete | 249,450 | $4.04M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 30% | 344,236 | 326,090 | $14.99M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 202,128 | 188,513 | $6.72M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 10% | 189,990 | 73,858 | $5.17M |
| 99223 | Prolong inpt eval add15 m | 6.9% | 44,576 | 42,812 | $3.46M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 6.2% | 82,278 | 37,644 | $3.12M |
| 99239 | Hospital discharge day management, more than 30 minutes | 3.3% | 38,225 | 36,484 | $1.63M |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.9% | 11,762 | 6,255 | $976K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.8% | 27,161 | 25,900 | $886K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.7% | 15,483 | 14,941 | $851K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.5% | 12,670 | 12,638 | $744K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.5% | 12,406 | 11,250 | $730K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.3% | 8,382 | 8,330 | $642K |
244 more codes
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.3% | 39,857 | $630K |
| 99215 | Doctor's office visit, returning patient (complex) | 1.2% | 8,760 | $617K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 12,154 | $496K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 8,420 | $485K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 7,742 | $400K |
| 76830 | Ultrasound, transvaginal | <1% | 8,169 | $397K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 36,844 | $378K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 8,233 | $359K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 10,694 | $351K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | <1% | 35,557 | $337K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 19,772 | $294K |
| 92586 | <1% | 3,898 | $278K | |
| 76801 | <1% | 4,732 | $251K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 6,508 | $239K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 2,603 | $198K |
| 97803 | <1% | 4,982 | $196K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 10,980 | $196K |
| 93000 | <1% | 25,404 | $189K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 3,132 | $187K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 2,236 | $173K |
| 31231 | <1% | 2,332 | $169K | |
| 62323 | <1% | 3,789 | $156K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 6,808 | $155K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,686 | $143K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 11,160 | $128K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 1,742 | $115K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 3,507 | $110K |
| 92650 | <1% | 4,579 | $105K | |
| 99443 | <1% | 10,515 | $96K | |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 2,560 | $92K |
| 99220 | <1% | 1,289 | $92K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 5,151 | $85K |
| 76813 | <1% | 1,683 | $85K | |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | <1% | 1,690 | $84K |
| 20610 | <1% | 4,181 | $84K | |
| 93307 | <1% | 2,881 | $82K | |
| 99292 | <1% | 1,762 | $77K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 23,873 | $67K |
| 99407 | <1% | 2,614 | $65K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 2,266 | $60K |
| 90674 | <1% | 2,788 | $58K | |
| 98968 | <1% | 2,004 | $54K | |
| 99188 | <1% | 2,068 | $54K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 941 | $52K |
| 97597 | <1% | 4,173 | $47K | |
| 99205 | Prolong outpt/office vis | <1% | 490 | $45K |
| 95251 | <1% | 3,064 | $44K | |
| 95816 | <1% | 1,738 | $41K | |
| 99221 | <1% | 939 | $37K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 2,989 | $37K |
| 43775 | <1% | 66 | $35K | |
| 0002A | <1% | 727 | $33K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 230 | $30K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 764 | $29K |
| 64483 | <1% | 523 | $29K | |
| 99442 | <1% | 3,692 | $27K | |
| 0001A | <1% | 637 | $27K | |
| 99173 | <1% | 1,217 | $27K | |
| J1756 | Injection, iron sucrose, 1 mg | <1% | 762 | $25K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 5,070 | $24K |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | <1% | 12 | $24K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 439 | $22K |
| 46600 | <1% | 373 | $22K | |
| 93297 | <1% | 1,908 | $21K | |
| 0012A | <1% | 448 | $20K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 214 | $18K |
| 0011A | <1% | 408 | $18K | |
| 98967 | <1% | 995 | $18K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 3,710 | $17K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 20 | $17K |
| 99235 | <1% | 287 | $17K | |
| 64493 | <1% | 379 | $16K | |
| 99236 | Prolong inpt eval add15 m | <1% | 193 | $15K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 393 | $15K |
| 99284 | Emergency room visit (serious) | <1% | 264 | $14K |
| 80305 | <1% | 2,515 | $14K | |
| 51798 | <1% | 2,062 | $13K | |
| 59514 | <1% | 14 | $13K | |
| 92557 | <1% | 541 | $13K | |
| 99219 | <1% | 240 | $13K | |
| 99285 | Emergency room visit (most serious) | <1% | 162 | $13K |
| 99460 | <1% | 125 | $13K | |
| 99307 | <1% | 1,443 | $12K | |
| 93224 | <1% | 193 | $10K | |
| J1439 | Injection, ferric carboxymaltose, 1 mg | <1% | 16 | $10K |
| 99310 | Prolong nursin fac eval 15m | <1% | 296 | $10K |
| 93923 | <1% | 387 | $9K | |
| 93296 | <1% | 1,110 | $9K | |
| 90686 | <1% | 889 | $9K | |
| 93295 | <1% | 578 | $9K | |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results | <1% | 642 | $9K |
| 97802 | <1% | 113 | $9K | |
| 64494 | <1% | 367 | $8K | |
| 94060 | <1% | 1,311 | $8K | |
| ATP17 | <1% | 719 | $8K | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 212 | $7K |
| 93880 | <1% | 251 | $7K | |
| 90688 | <1% | 704 | $7K | |
| 92551 | <1% | 692 | $7K | |
| 64484 | <1% | 297 | $7K | |
| 76820 | <1% | 357 | $7K | |
| 20552 | <1% | 468 | $6K | |
| 93016 | <1% | 620 | $6K | |
| 81025 | <1% | 1,007 | $6K | |
| 90756 | <1% | 300 | $6K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 270 | $6K |
| 92567 | <1% | 572 | $6K | |
| 94726 | <1% | 1,059 | $5K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 1,305 | $5K |
| 99283 | Emergency room visit (moderate) | <1% | 127 | $5K |
| 94729 | <1% | 1,153 | $5K | |
| 93018 | <1% | 673 | $4K | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 306 | $4K |
| 31254 | <1% | 12 | $4K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 79 | $4K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 52 | $4K |
| 90694 | <1% | 155 | $4K | |
| 99462 | <1% | 84 | $4K | |
| ATP03 | <1% | 1,025 | $4K | |
| 99234 | <1% | 79 | $3K | |
| 90961 | <1% | 40 | $3K | |
| 95886 | <1% | 125 | $3K | |
| 20553 | <1% | 227 | $3K | |
| 27096 | <1% | 64 | $3K | |
| 81002 | <1% | 1,787 | $3K | |
| 96127 | <1% | 1,761 | $3K | |
| 99397 | <1% | 156 | $3K | |
| G0008 | Administration of influenza virus vaccine | <1% | 1,188 | $3K |
| 11045 | <1% | 65 | $3K | |
| 20550 | <1% | 132 | $3K | |
| 99217 | <1% | 78 | $3K | |
| 92587 | <1% | 186 | $3K | |
| 17250 | <1% | 161 | $3K | |
| 90653 | <1% | 324 | $3K | |
| 95812 | <1% | 104 | $3K | |
| 93971 | <1% | 172 | $2K | |
| 30140 | <1% | 12 | $2K | |
| 31237 | <1% | 13 | $2K | |
| 82962 | <1% | 4,007 | $2K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 499 | $2K |
| 98927 | <1% | 143 | $2K | |
| ATP14 | <1% | 187 | $2K | |
| 43235 | <1% | 39 | $2K | |
| 99417 | Prolong home eval add 15m | <1% | 81 | $2K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 89 | $2K |
| 54150 | <1% | 24 | $2K | |
| 31256 | <1% | 12 | $2K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 521 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 293 | $2K |
| 99306 | Prolong nursin fac eval 15m | <1% | 27 | $1K |
| 93294 | <1% | 191 | $1K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 58 | $1K |
| 99385 | <1% | 27 | $1K | |
| 93970 | <1% | 89 | $1K | |
| 62321 | <1% | 28 | $1K | |
| 59025 | Fetal non-stress test | <1% | 35 | $1K |
| 96415 | <1% | 73 | $973.08 | |
| 31575 | <1% | 24 | $947.59 | |
| 76376 | <1% | 83 | $935.34 | |
| 99318 | <1% | 17 | $913.70 | |
| 98928 | <1% | 45 | $881.29 | |
| 85610 | <1% | 391 | $865.94 | |
| 36416 | <1% | 2,349 | $858.70 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 56 | $829.32 |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 68 | $782.86 |
| 80061 | Lipid panel | <1% | 883 | $767.33 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 53 | $760.78 |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 57 | $752.27 |
| 99381 | <1% | 12 | $716.56 | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 55 | $697.38 |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | <1% | 300 | $656.60 |
| 64495 | <1% | 28 | $655.60 | |
| 95800 | <1% | 26 | $642.46 | |
| 80053 | Comprehensive metabolic panel | <1% | 1,003 | $631.40 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 26 | $623.82 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 440 | $573.04 |
| 87428 | <1% | 13 | $508.72 | |
| 93298 | <1% | 48 | $500.66 | |
| 1160F | <1% | 81,967 | $453.83 | |
| 3008F | <1% | 86,719 | $426.12 | |
| 81003 | <1% | 407 | $415.27 | |
| 3078F | <1% | 52,188 | $404.30 | |
| 99401 | <1% | 13 | $403.78 | |
| G0443 | Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes | <1% | 254 | $391.05 |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,469 | $371.84 |
| 1159F | <1% | 80,204 | $327.95 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 92 | $320.15 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 25 | $306.18 |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 219 | $277.49 |
| 85018 | <1% | 194 | $254.64 | |
| 73030 | <1% | 22 | $223.03 | |
| 94727 | <1% | 32 | $214.19 | |
| 93227 | <1% | 12 | $213.68 | |
| 1036F | <1% | 71,587 | $183.83 | |
| 99497 | <1% | 23 | $179.25 | |
| 90662 | <1% | 52 | $168.03 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 14 | $159.99 |
| 94760 | <1% | 115 | $156.60 | |
| J7050 | Infusion, normal saline solution, 250 cc | <1% | 309 | $153.90 |
| 99441 | <1% | 17 | $140.01 | |
| 93308 | <1% | 14 | $138.39 | |
| ATP18 | <1% | 13 | $131.64 | |
| 3074F | <1% | 57,792 | $112.24 | |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | <1% | 51 | $107.47 |
| 77002 | <1% | 16 | $92.91 | |
| 91301 | <1% | 831 | $90.94 | |
| 81001 | <1% | 37 | $85.20 | |
| 85027 | <1% | 14 | $81.48 | |
| 82044 | <1% | 28 | $55.97 | |
| 99383 | <1% | 31 | $49.05 | |
| 73630 | <1% | 12 | $44.16 | |
| 82947 | <1% | 12 | $32.40 | |
| 3079F | <1% | 8,556 | $23.17 | |
| 99001 | <1% | 143 | $18.00 | |
| 99152 | <1% | 14 | $16.54 | |
| 93325 | <1% | 12 | $16.24 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 16 | $8.57 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 28 | $7.66 |
| 3075F | <1% | 3,887 | $0.11 | |
| 3725F | 0% | 6,145 | $0.00 | |
| 3077F | 0% | 2,021 | $0.00 | |
| 1158F | 0% | 94 | $0.00 | |
| 3288F | 0% | 761 | $0.00 | |
| 91300 | 0% | 1,337 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 27 | $0.00 |
| 99382 | 0% | 14 | $0.00 | |
| 1100F | 0% | 16 | $0.00 | |
| 0502F | 0% | 21 | $0.00 | |
| 1034F | 0% | 3,417 | $0.00 | |
| 71045 | Radiologic examination, chest; single view | 0% | 18 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 929 | $0.00 |
| 3061F | 0% | 355 | $0.00 | |
| 1125F | 0% | 159 | $0.00 | |
| 1126F | 0% | 1,092 | $0.00 | |
| 3044F | 0% | 355 | $0.00 | |
| G9226 | Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) | 0% | 60 | $0.00 |
| 3080F | 0% | 244 | $0.00 | |
| 00000 | 0% | 777 | $0.00 | |
| 1170F | 0% | 84 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 232 | $0.00 |
| 1101F | 0% | 79 | $0.00 | |
| G9637 | Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) | 0% | 42 | $0.00 |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 27 | $0.00 |
| 4010F | 0% | 117 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialGUAY, AMY (PRESIDENT OF STEWARD MEDICAL GROUP)
Parent organizationSTEWARD HEALTH CARE SYSTEM LLC
| Provider | Location | Paid |
|---|---|---|
| Permian Premier Health Services INC | Odessa, TX | $3.55M |
| Permian Premier Health Services INC | Big Spring, TX | $1.44M |
| Permian Premier Health Services INC | Beaumont, TX | $652K |
| Steward Medical Group, INC. | Hialeah, FL | $212K |
| Steward Medical Group, INC | Warren, OH | $165K |
| Steward Medical Group, INC. | Miami, FL | $86K |
| Steward Medical Group, INC. | Sunrise, FL | $49K |
| Steward Medical Group, INC. | Hialeah, FL | $46K |
| Steward Medical Group, INC. | Fort Lauderdale, FL | $30K |
| Steward Medical Group, INC. | Hialeah, FL | $13K |
| Steward Medical Group, INC. | Lauderdale Lakes, FL | $7K |
| Steward Medical Group, INC. | Miami, FL | $866.81 |
| Steward Medical Group, INC. | Hialeah, FL | $391.72 |
| Steward Medical Group, INC. | Hialeah, FL | $177.07 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.